Self-reported Psychological Health Research Articles

Pre-Pandemic Resilience to Trauma & COVID-19 Infection in Older Women.

Prior work suggests psychological resilience to trauma may protect not only mental but also physical health. This study examined the relationship of pre-pandemic psychological resilience to lifetime trauma with self-reported COVID-19 infection and symptoms during the early years of the COVID-19 pandemic. Data are from 18,670 longitudinal cohort participants in the Nurses' Health Study II. Based on prior evidence that trauma and subsequent distress can increase infection risk and severity, and that psychological assets may offset this risk, we hypothesized higher versus lower psychological resilience to prior trauma would be associated with lower risk for COVID-19 infection. Pre-pandemic resilience was assessed via self-report between 2017-2019 based on self-reported lifetime trauma exposure and psychological health. COVID-19 infection and symptoms were self-reported on 7 questionnaires administered between May 2020 - October 2021, from which we derived a composite outcome measure of probable COVID-19 infection, defined as having 3+ COVID-19 symptoms (out of 9) and/or a positive COVID-19 test result at any single assessment. Multivariable regression revealed significant associations between higher pre-pandemic resilience scores and lower risk for probable COVID-19 infection, adjusting for socio-demographic and COVID-19-related risk factors (RR = 0.90 [95% CI 0.87, 0.93]). Considering subcomponents of the composite COVID-19 infection measure separately, pre-pandemic resilience was significantly associated with lower risk of reported symptoms (RR = 0.83 [95% CI 0.79, 0.88]), but not with a positive test result alone (RR = 0.96 (95% CI 0.91, 1.01]). Identifying protective factors for infection risk may help inform psychosocial interventions to improve health outcomes.

Difficult-to-treat HIV in Sweden: a cross-sectional study.

Our aim was to examine the prevalence and characteristics of difficult-to-treat HIV in the current Swedish HIV cohort and to compare treatment outcomes between people with difficult and non-difficult-to-treat HIV. In this cross-sectional analysis of the Swedish HIV cohort, we identified all people with HIV currently in active care in 2023 from the national register InfCareHIV. We defined five categories of difficult-to-treat HIV: 1) advanced resistance, 2) four-drug regimen, 3) salvage therapy, 4) virologic failure within the past 12 months, and 5) ≥2 regimen switches following virologic failure since 2008. People classified as having difficult-to-treat HIV were compared with non-difficult for background characteristics as well as treatment outcomes (viral suppression and self-reported physical and psychological health). Nine percent of the Swedish HIV cohort in 2023 (n=8531) met at least one criterion for difficult-to-treat HIV. Most of them had ≥2 regimen switches (6%), and the other categories of difficult-to-treat HIV were rare (1-2% of the entire cohort). Compared with non-difficult, people with difficult-to-treat HIV were older, had an earlier first year of positive HIV test and lower CD4 counts, and were more often female. The viral suppression rate among people with difficult-to-treat HIV was 84% compared with 95% for non-difficult (p= 0.001). People with difficult-to-treat HIV reported worse physical (but not psychological) health, and this remained statistically significant after adjustment for age, sex, and transmission group. Although 9% of the HIV cohort in Sweden in 2023 were classified as having difficult-to-treat HIV, a large proportion of these were virally suppressed, and challenges such as advanced resistance and need for salvage therapy are rare in the current Swedish cohort.

Physical activity habits prevent psychological distress in female academic students: The multiple mediating role of physical and psychosocial parameters

BackgroundPsychological distress is recognised as the most common mental health difficulty in emerging adult (18-to-24-year-old) female academic students. This study aimed to test a novel model positing physical activity habits as a protective factor for psychological distress through the mediating role of physical and psychological parameters. Adherence to the Mediterranean diet and self-reported physical health status were included as physical parameters. Self-reported psychological health status and time spent on leisure activities were the psychological parameters considered. MethodData were collected between April and May 2021. Correlation analyses and a multiple mediation model were computed on 411 online questionnaires filled out by 18-to-24-year-old female students from the University of blind (Italy). ResultsThe multiple indirect effects were significant (β = −0.088; p < 0.001). This means that physical activity habits reduce psychological distress through high adherence to the Mediterranean diet, a good self-assessment of one's physical and psychological health status, and more time spent on leisure activities outdoors, with friends, and with family members. ConclusionsResults show that academic policies should be adopted so as to design physical activity programmes that may improve the students’ healthy behaviours and social interactions, which, in turn, mitigate the detrimental effects of psychological distress.

The Relationship Between Self-Reported Sleep Quality and Psychological Health in Undergraduates During the Home Quarantine of COVID-19

The present study aimed to investigate self-reported sleep quality and psychological well-being, specifically anxiety, depression and stress, in undergraduate students during home quarantine. A total of 7,364 students participated and completed the PSQI and DASS-21 scales. The results showed that higher-grade students were more likely to have mental health problems compared to their lower-grade students. Additionally, male students reported better sleep quality than females, and high-grade students reported more sleep problems than low-grade students. Significant correlations were observed between PSQI scores and stress, anxiety and depression scores (r=0.469, 0.458, 0.408, p＜0.01). Specifically, the PSQI score explained 22.0%, 21.0% and 16.6% of the variance in stress, anxiety and depression scores respectively. In conclusion, gender and grade differences in sleep and mental health were evident, with female students reporting lower sleep quality than males, and high-grade students experiencing worse sleep quality and mental health than their low-grade students.

Characteristics and Correlates of Perceived Physical and Psychological Health Among Family Caregivers Living With Persons With Advanced Dementia.

Various factors drive a care setting shift from institutional to home settings for dementia care until the latest stage of the disease, suggesting the critical role of family caregivers living with persons with dementia. This study explored the characteristics and correlates of self-reported overall physical and psychological (ie, depressive symptoms and stress) health among family caregivers living with persons with dementia in Sweden. This cross-sectional, descriptive study used baseline data from an existing music-based intervention study of persons with dementia and their family caregivers (N = 76). Multivariable linear regression analyses were performed. On average, caregivers (n = 38; mean age: 74.8 years) were slightly younger than persons with dementia (n = 38; mean age: 78.6 years). Most caregivers were female (n = 24; 63.2%) and spouses or partners of persons with dementia (n = 37; 97.4%). Caregivers' perceived relationship with their family members with dementia was the only factor associated with caregivers' self-reported overall physical health (b = -0.655, p = .046). This suggests caregivers' more frequent feeling of a good relationship with the persons with dementia was linked to better self-rated physical health among family caregivers living with persons with dementia. This study highlights the importance of family caregivers' perceived relationship with persons with dementia in the context of caregivers' self-reported physical health. Future research is needed to explore the perceived relationship from the perspectives of persons with dementia and the determinants of caregiving dyads' (persons with dementia and family caregivers) perceived relationship with each other.

Challenges and Opportunities to Maximize Mental Health among Shipboard Sailors: A Qualitative Study

Recent reports show U.S. sailors have the highest rates of self-reported psychological health symptoms of any service, perhaps in part due to the unique challenges of serving in a shipboard environment. Resources are available to maximize the psychological health of sailors while at sea, though no empirical research is available regarding sailors’ perspectives on what strategies, services, and programs they find most helpful and accessible. To address this knowledge gap, thirteen focus groups were conducted with sailors from two different ships (n = 86) to determine how they manage stress and maximize psychological health while underway. Content analysis of focus group transcripts conducted by two independent reviewers identified themes within three content areas: strategies and resources to manage stress and maximize psychological health; challenges to accessing supportive services and resources; and opportunities to improve psychological health. Five themes emerged for managing stress underway, the most common of which was engaging in physical fitness. Others included participating in organized social events, general comradery and social support, seeking help from medical, and communicating with Chaplains. Social and logistical barriers to seeking psychological healthcare were identified, including stigma, fear of adverse career repercussions, and too few providers/long wait times. Suggestions for improving psychological health at sea included improving sleep health, changes to workload and scheduling, increased shipboard providers trained in psychological healthcare, and increased social support. Specific interventions that may benefit shipboard sailors are sleep health education, improvements to berthing areas, adoption of circadian watchbills, telemedicine, and an increased number of social events aboard ships.

5-year follow-up of adolescents with social anxiety disorder: Current functioning during COVID-19

The present study followed-up adolescents with social anxiety disorder (SAD) during the COVID-19 pandemic, approximately 5-years following their participation in an Attention Bias Modification Training (ABMT) program (Ollendick et al., 2019). The current study aimed to evaluate current functioning and quality of life (QoL) during the emerging adulthood period. Participants included 27 young adults who completed a randomized controlled trial of ABMT and were available for follow-up. Participants filled out self-report measures of QoL and functioning and underwent a clinical interview to assess current severity of social anxiety. Clinician-rated symptoms of SAD significantly decreased from post-treatment to 5-year follow-up. Additionally, results demonstrated that social anxiety severity was significantly related to poorer self-reported physical and psychological health as well as poorer functioning with regard to social distancing fears during COVID-19. Lastly, when evaluating change in symptoms over time, increases in social anxiety severity over a 5-year period significantly predicted worsened social distancing fears during COVID-19.

Associations among self-compassion, weight bias internalization, and self-reported psychological and physical health.

Associations among self-compassion, weight bias internalization, and self-reported psychological and physical health.

The wellbeing of adolescents and the role of greenness: A cross-sectional study among Italian students.

Adolescence is a critical period of life, and the level of wellbeing acquired during this stage might have an influence on health status in adulthood. The wellbeing of adolescents is associated with both biological and environmental determinants. To date, few studies have evaluated the effect of exposure to urban green spaces (i.e., greenness) on adolescents' wellbeing. Therefore, the aim of this study is to assess the association between exposure to greenness and the wellbeing of adolescents, accounting for the level of urbanization surrounding schools. In the frame of the 2018 Italian Health Behaviour in School-aged Children (HBSC), we analyzed cross-sectional data from the Piedmont Region. Exposure to greenness was quantified by the Normalized Difference Vegetation Index (NDVI). Schools were geocoded, and a fixed buffer (radius 1,500 m) centered on each school was then built to enable average NDVI calculations. Adolescents' wellbeing was assessed by self-reported psychological, somatic, and psychosomatic health complaints as follows. Respondents were asked how often, in the last 6 months, they had experienced: (a) headache, (b) stomachache, (c) backache, (d) dizziness, (e) feeling low, (f) irritability or bad temper, (g) feeling nervous, and (h) difficulties getting to sleep using the HBSC Symptom Checklist (HBSC-SCL), an eight-item tool. Multivariable, multilevel logistic regression models tested the association between exposure to NDVI and psychosomatic, somatic, and psychological health complaints, one at a time, using schools as a random intercept. In total, 2065 subjects (47.6% girls) aged 11 (48.4%) and 13 (51.6%) years were involved. Greenness was found to be inversely associated with reported psychosomatic (OR 0.72, 95% CI: 0.53-0.98) and psychological health complaints (OR 0.67, 95% CI: 0.49-0.92) in boys only, adjusting for age, urbanization level, and socioeconomic status, and stratifying by gender. Our results support the implementation of future policies for urban environmental design supporting the increase of green spaces, as suggested by the United Nations Sustainable Development Goals. Further studies are needed to confirm our findings.

How Role Overload Affects Physical and Psychological Health of Low-ranking Government Employees at Different Ages: The Mediating Role of Burnout

BackgroundThe public now imposes higher demands on the government than in the past, which has created the role overload faced by low-ranking government employees in China. This research investigates the relationship between role overload and health among low-ranking government employees and explores the mediating effects of burnout. MethodsIt draws on a survey of 2064 low-ranking government employees by probability proportionate to size sampling in China's Shandong Province. Structural equation modeling (SEM) methods are used to analyze the data. ResultsBoth role overload and burnout were found to have negative effects on low-ranking government employees' health; however, the associations varied among the three age groups (less than 36, between 36 and 45, and over 45). Those over 45 reported the highest level of both physical and psychological health, while the youngest age group (less than 36) reported the lowest level of health. Role overload has a direct influence on health among government employees over 45 but not among those below 45. Burnout's mediating effects between role overload and health are significant among all age groups, but most significant among the youngest civil servants below 36. ConclusionsThe findings evidenced that both role overload and burnout affect low-ranking government employees' self-reported physical and psychological health. In addition, the effect of age differences in coping with role stressors and burnout should be considered.

Lifestyle changes during the Covid-19 lockdown among young adults in Kerala in terms of physical activity, sleeping habits, and perceived psychological problems: A cross-sectional study

Aim: The aim of this article is to study the lifestyle changes such as physical activity, dietary habits, sleeping patterns, and psychological parameters during the COVID-19 lockdown among young adults. Materials and Methods: This was a cross-sectional study carried out by an online web-based survey. The survey was open for 2 weeks and was shared on all social media platforms. It was composed of 20 questions divided into sections, namely, general information and comorbidities, dietary pattern, physical activity, sleeping pattern, and self-reported psychological health. The data were analyzed using SPSS version 16. Results: Out of the 301 participants, majority were female students who belonged to higher socioeconomic status with a mean age of 23.31 years. Only 100 (33.2%) got involved regularly in any type of exercise during the lockdown period. The participants consumed cereals for a median number of 6 days in a week. One-third of the participants slept for 8–10 h daily during the lockdown period. Psychological issues were reported by 44% (132) of the individuals. Conclusion: Our study showed that only one-third of the participants had the habit of exercising regularly during the COVID-19 lockdown period. Almost half of the participants reported a significant change in their diet. There was an increase in the number of hours of sleep in a day. Psychological health problems in the form of stress, anxiety, and depression were reported by a high proportion of individuals.

Worsening general health and psychosocial wellbeing of Australian hospital allied health practitioners during the COVID-19 pandemic.

Objective To describe self-reported general and psychological health for allied health practitioners at an Australian acute public health service over three time points within the coronavirus disease 2019 (COVID-19) pandemic. Methods This study collected data from cross-sectional online surveys at three time points: May-June 2020 (T 1 ), October-November 2020 (T 2 ) and November-December 2021 (T 3 ). The self-report questionnaire consisted of demographic questions, a general health question and the 21-item version of the Depression Anxiety Stress Scales (DASS-21). Results A total of 308 responses were received (T 1 n = 135, T 2 n = 78, T 3 n = 95) from representatives of eight allied health professions. The proportion of allied health practitioners reporting poor general health significantly increased over time, as did mean scores on all DASS-21 sub-scales. General health status was also significantly associated with DASS-21 subscale scores. Anxiety scores increased significantly between T 1 and T 2 , while depression scores increased significantly between T 2 and T 3 . Significant increases in stress scores were recorded across all time intervals. Between T 1 and T 3 , the proportion of allied health practitioners reporting moderate, severe, or extremely severe symptoms increased for depression (10.3-30.9%), anxiety (5.2-18.2%) and stress (13.3-36.3%). Conclusion The general and psychological health of allied health practitioners appears to be worsening as the COVID-19 pandemic continues. Organisational strategies to support the health of the allied health workforce in acute care settings must address the cumulative effects of prolonged pressure on their general and psychosocial health. Support strategies need to be responsive to changes in psychological wellbeing at different phases of the pandemic.

Prevention of sick leave at the workplace: design of a cluster-randomized controlled trial of a problem-solving intervention among employees with common mental disorders

BackgroundCommon mental disorders are highly prevalent in the working population, affecting about 1 in 5 persons in the Organisation for Economic Co-operation and Development countries. About 30% of those affected have a first period of sick leave. Despite several attempts to reduce the risk of sick leave among employees with common mental disorders, there is a lack of knowledge about effective, preventive interventions which aim to reduce such risks. This protocol describes the design of a study to evaluate the effectiveness of a problem-solving intervention delivered by first-line managers to employees with common mental disorders on the prevention of sick leave during the 12-month follow-up.Methods/designThe study applies a two-armed cluster-randomized trial design of a problem-solving intervention conducted in private-sector companies. First-line managers are randomized into intervention- or control groups by computer-generated random numbers, allocation ratio 1:1. Employees are eligible if at risk for future sick leave due to common mental disorders. These are identified by self-reported psychological health measured by the General Health Questionnaire 12-item, cut-off ≥3, or a positive answer to risk of sick leave.The intervention is based on problem-solving principles. It involves the training of the first-line managers who then deliver the intervention to employees identified at risk of sick leave. First-line managers in the control group receives a lecture. Primary outcome is number of registered days of sick leave due to common mental disorders during the 12-month follow-up. Secondary outcomes are general health, psychological symptoms, work performance, work ability and psychosocial work environment. A process evaluation will examine the intervention’s reach, fidelity, dose delivered, dose received, satisfaction and context. Research assistants managing the screening procedure, outcome assessors and employees are blinded to randomization and allocation.DiscussionThe study includes analyses of the intervention’s effectiveness and an alongside process evaluation. Methodological strengths and limitations, for example the risk of selection bias, attrition and risk of contamination are discussed.Trial registrationClinicaltrials.gov NCT04975750 Date of registration: 08/16/2021.

The sleep maths: A strong correlation between more daytime light and better night-time sleep

Lighting for workplaces and schools is typically specified to meet the needs of the visual system without sufficient regard to the lighting characteristics that are required by the human circadian system. In 2020, many workers and students were compelled by the COVID-19 pandemic to work and study from home, where light levels are typically even lower than those found in most schools and workplaces. Using online surveys, this study sought to quantify potential changes in daytime light exposures resulting from teleworking or self-isolating at home and how those changes might have affected self-reported sleep quality, psychological health and emotional health. The first survey was administered in early May 2020, and the second survey was administered in September 2020. In broad terms, our analysis indicates that the greater the amount of light one is exposed to during the day (either in the home or outdoors), the better the self-reported sleep outcomes. Stress and mood were also correlated with greater self-reported daytime light exposures. The results suggest that spending one to two hours outdoors or staying in a bright to very bright room indoors may improve night-time sleep. These results have important implications for daytime lighting in homes, offices and schools.

Occupation and life satisfaction among individuals with mental illness: the mediation role of self-reported psychophysiological health.

BackgroundUnemployment can diminish physical, psychological and social health. In this context, research shows that people with mental illness have even more difficulties finding occupation. Thus, some countries, such as Sweden, strive after creating job opportunities for this specific group. We investigated the effect of having an occupation on life satisfaction among individuals with mental illness and whether self-reported physical and psychological health mediated the relationship between being (un)employed and life satisfaction.MethodTwo-hundred eighty-seven individuals (148 males, 134 females, and 5 missing information) with mental illness, who received support and services from Swedish Municipalities in Blekinge, self-reported occupation, life satisfaction, and physical and psychological health.ResultsParticipants who reported having an occupation reported also significantly higher levels of life satisfaction, physical health, and psychological health compared to those without occupation. Nevertheless, these differences were rather small (Eta2 < 0.06). Moreover, the indirect effect of having an occupation on life satisfaction through physical and psychological health was significant. Finally, the total indirect effect of physical and psychological health (i.e., psychophysiological health) accounted for 53% of the total effect of having an occupation on life satisfaction.ConclusionFor individuals with mental illness there seems to be an almost equal importance of indirect and direct effects of having an occupation on their levels of life satisfaction. More specifically, while there are differences in life satisfaction within this population in relation to having an occupation, having an occupation leads to the sense of good psychophysiological health, which in turn helps individuals with mental illness to feel satisfied with their lives.

Access and engagement with places in the community, and the quality of life among people with spinal cord damage

Objectives This study aims to investigate the association between self-reported accessibility and engagement with health services and places in the community, and quality of life (QOL) for people with spinal cord damage (SCD). Design Cross-sectional survey. Setting Community. Participants Two-hundred and sixty-six people with a SCD residing in Australia (Mage = 62.34, SDage = 15.95). Outcome Measure The International Spinal Cord Injury Quality of Life Basic Data Set. Results Univariate regressions demonstrated that accessing a higher number of places in the community was significantly associated with favorable self-reported psychological health (β = .160, P < .01), physical health (β = .144, P < .01), overall well-being (β = .206, P < .01), and QOL (β = .187, P < .01). In contrast, reporting a higher number of inaccessible places was significantly associated with unfavorable self-reported psychological health (β = −.171, P < .01), physical health (β = −.270, P < .001), overall well-being (β = −.238, P < .001), and QOL (β = −.244, P < .001). Being older and living with injury or onset of damage longer were significantly associated with favorable scores across all outcomes (P < .01) except physical health. Conclusions Community engagement can have a considerable impact on the self-reported health and QOL of people with SCD. Interventions aimed at increasing community engagement, particularly for people who have recently experienced SCD are warranted.

The quality of social relationships in schools and adult health: Differential effects of student-student versus student-teacher relationships.

Students' sense of social relatedness at school predicts health and well-being throughout life. However, little is known about whether observed associations reflect unobserved family background factors and whether these associations differ between student-student and student-teacher relationships. Using data from the National Longitudinal Study of Adolescent to Adult Health, this study examined whether student-student and student-teacher relationships are differentially associated with adult health outcomes, measured by self-reported overall health, physical health, psychological health, and substance use. This study employed sibling fixed-effect models to take into account unobserved family background factors such as genetic endowments, family environment, as well as childhood social contexts (school and neighborhood effects). Naive ordinary least squares (OLS) models showed significant associations between relationships with other students and health outcomes in adulthood. However, the preferred sibling fixed-effect estimates revealed that family background characteristics confound these observed associations, with the exception of the depression outcome. Conversely, observed associations between adolescents' relationships with teachers and adult health were robust to controlling for unobserved family background characteristics shared between siblings. Taken together, improving the quality of social relationships in schools, especially student-teacher relationships, may improve adult health in the long run. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Is Being an only Child Harmful to Psychological Health?: Evidence from an Instrumental Variable Analysis of China's one-child Policy

SummaryThe paper evaluates the effects of being an only child in a family on psychological health, leveraging data on the one-child policy in China. We use an instrumental variable approach to address the potential unmeasured confounding between the fertility decision and psychological health, where the instrumental variable is an index of the intensity of the implementation of the policy. We establish an analytical link between the local instrumental variable approach and principal stratification to accommodate the continuous instrumental variable. Within the principal stratification framework, we postulate a Bayesian hierarchical model to infer various causal estimands of policy interest while adjusting for the clustering data structure. We apply the method to the data from the China Family Panel Studies and find small but statistically significant negative effects of being an only child on self-reported psychological health for some subpopulations. Our analysis reveals treatment effect heterogeneity with respect to both observed and unobserved characteristics. In particular, urban males suffer the most from being only children, and the negative effect has larger magnitude if the families were more resistant to the one-child policy. We also conduct a sensitivity analysis to assess the key instrumental variable assumption.

Resilience and CVD-protective Health Behaviors in Older Women: Examining Racial and Ethnic Differences in a Cross-Sectional Analysis of the Women's Health Initiative.

Little is known about the relationship between self-reported psychological resilience (resilience) and health behaviors shown to reduce the risk of cardiovascular disease (CVD). This study examines the associations between resilience and CVD-related risk factors, such as diet, smoking, physical activity, sleep, and alcohol consumption among older American women from diverse backgrounds. Methods: A cross-sectional secondary analysis was conducted on 77,395 women (mean age 77 years, Black (N = 4475, 5.8%), non-Hispanic white (N = 69,448, 89.7%), Latina (N = 1891, 2.4%), and Asian or Pacific Islander (N = 1581, 2.0%)) enrolled in the Women’s Health Initiative Extension Study II. Resilience was measured using an abbreviated version of the brief resilience scale. Multivariable logistic regression models were used to evaluate the association between resilience and health behaviors associated with risk for CVD, while adjusting for stressful life events and sociodemographic information. To test whether these associations varied among racial/ethnic groups, an interaction term was added to the fully adjusted models between resilience and race/ethnicity. Results: High levels of resilience were associated with better diet quality (top 2 quintiles of the Healthy Eating Index 2015) (OR = 1.22 (95% Confidence Interval (1.15–1.30)), adhering to recommended physical activity (≥ 150 min per week) (1.56 (1.47, 1.66)), sleeping the recommended hours per night (7–9) (1.36 (1.28–1.44)), and moderate alcohol intake (consuming alcoholic drink(s) 1–7 days per week) (1.28 (1.20–1.37)). The observed association between resilience and sleep is modified by race/ethnicity (p = 0.03). Conclusion: Irrespective of race/ethnicity, high resilience was associated with CVD-protective health behaviors. This warrants further investigation into whether interventions aimed at improving resilience could increase the effectiveness of lifestyle interventions.

Psychological Measures and BMI-SDS among Adolescents with Obesity and Different Motivational Stages in Inpatient Rehabilitation

Obesity is strongly represented in adolescents, showing a high persistency until adulthood. Previous studies displayed short term effects of inpatient rehabilitation, but failed to demonstrate sustainability. Long-term effects might be expected when taking the motivational stage of adolescents into account. However, there is no evidence regarding motivational stages in obese adolescents in German inpatient rehabilitation. The current study investigated psychological measures and the Body-Mass-Index-standard deviation score (BMI-SDS) in obese adolescents related to motivational stages and age. A total sample of n=127 adolescents were included in this cross-sectional study during their inpatient rehabilitation intake. Differences in BMI-SDS and self-reported psychological health were analyzed using 2-way analysis of covariance with the factors motivational stage (intender vs. actor) and age (12-14 vs. 15-17 years), and the covariate gender. Motivational stages were assessed using the newly developed questionnaire to classify motivational stages (Fragebogen zur Einteilung in Motivationsstadien; MoS). Intenders reported unfavorable disease management and volitional parameters. Younger participants reported a lower BMI-SDS as well as lower motivational and volitional parameters. A risk profile emerged for younger intenders which was characterized by psychological problems. The results provide important insights for the design of motivational stage-based training programs and underpin the need for age-specific therapies during adolescence.